Individual
IRINA CLAUDIA ILUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7668
Mailing address
88 GATE HOUSE LN, EDISON, NJ 08820-4011
(732) 742-9613
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26NR09526600
NJ
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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